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RENAE JACKSON
NPI 1629605746
Obstetrics & Gynecology in Murrieta, CA

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment
25460 MEDICAL CENTER DRIVE, SUITE 100, MURRIETA, CA 92562(951) 677-4748 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Renae Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENAE JACKSON (NPI 1629605746) is an individual obstetrics & gynecology provider in Murrieta, California, licensed in California (A193442) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2020).

NPPES Registry Identity

NPI1629605746
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameRENAE JACKSON
Location Address25460 MEDICAL CENTER DRIVE, SUITE 100Murrieta, CA 92562
Mailing Address25460 Medical Center Drive, Ste 100Murrieta, CA 92562 · (951) 677-4748
Phone(951) 677-4748
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2020
Enumeration DateMarch 26, 2020
Last NPPES UpdateOctober 29, 2024
NPPES CertifiedOctober 24, 2024
✔ NPI 1629605746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A193442
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
25460 MEDICAL CENTER DRIVE, SUITE 100, Murrieta, CA 92562
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Renae Jackson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486197837
PECOS Enrollment IDI20240613003836
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92562 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renae Jackson's NPI number?

The NPI number for Renae Jackson is 1629605746. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Renae Jackson located?

Renae Jackson practices at 25460 Medical Center Drive, Suite 100, Murrieta, CA 92562. The listed phone number is (951) 677-4748.

What is Renae Jackson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Renae Jackson enrolled in Medicare?

Yes. Renae Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Renae Jackson was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.